Quiz: Corneal Anomaly

The photos below are from a 14-year-old white female. Acuity is 20/25 right eye and 20/100 left eye. Keratometry: 44.5@154 x 45.0@54 right and 41.5@176 x 44.5@85 left. Pachymetry: 686 right and 827 left. Cup/Disc ratio 0.3 both. What could be happening?

Start Quiz